Gay Option

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Mass Effect

Mass Effect 1 and 2 has romance options for a mono-gender race with feminine appearance called the Asari. Mass Effect 3 has gay and lesbian romance interests. Kaiden Alenko is bisexual and romance-able by a male Shepard.

Fallout

Fallout 2 has gay and lesbian marriage. Fallout 3 has a bisexual female prostitute, but prostitution is a minor part of the game. Fallout: New Vegas has one gay and one lesbian companion (non-romantic) character; you can use the confirmed bachelor perk on Arcade Gannon and other characters.

The prostitution is very underwhelming. Your character pays for it just like anything else and nothing is shown.

Jade Empire

Jade Empire has a romance option (wikia) for Sky and Silk Fox; for the Sky romance, you need to be extra careful not to be locked out.
Unfortunately, studio heads decided to censor and blackout the gay kissing scene. This mod restores the scene.

Fable

Marriage: Fable I is an excellent game. The atmosphere of the second game isn't as excellent, but there are many game-play improvements; unfortunately, the second game simplifies the game-play when it isn't needed (e.g. far less spells). Fable III reviewers say the plot isn't as good and the game-play is too simplified.
Fable TLC is available on PC, but the mods are limited. To my knowledge, Fable II and III software prevents mods from being made.

Nicholas Hoult's characters Eliot is only romance-able in the game if you play as a female character. Gay characters have to settle for unimportant NPCs instead of childhood sweethearts; that's a very glaring oversight by Lionhead.

Fire Emblem: Path of Radiance and Radiant Dawn

It's up to the player to decide if they think Ike and Soren are more than just friends.
To be able to get the converseration in Radiant Dawn, you need to transfer a save where Ike and Soren have A support, get A support in POR, and recruit Lehran which can only happen on a second playthrough.

Dating Sims

Persona

Persona 2 Innocent Sin was released in Japan only and is available on PSP; fans made an English mod for the original PSX version. Persona is a spin-off series of the Megami Tensei series.
One of Persona 4's playable characters (not the main character) comes to term's with possibly being gay or biesxual; the Atlus interview has minor spoilers.

Fragile Dreams

Fear Effect

Fear Effect 2 is a prequel to Fear Effect. In an interview one of the designers of Fear Effect 2 said

Once and for all, let me set the record straight. Hana is not a lesbian! She likes men...and she likes women. Who she chooses to go to bed with at the end of the day is not a big deal![...]The only reason I wanted Hana to have a female companion this time around is because it gives me the ability to create an extremely interesting love triangle further down the road.